| Dr Cory Lyn Annis, MD | |
|
127 Fidelity St, Carrboro, NC 27510-2002 | |
| (919) 933-8381 | |
| (919) 933-6623 |
| Full Name | Dr Cory Lyn Annis |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 127 Fidelity St, Carrboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215912050 | NPI | - | NPPES |
| 91928 | Other | NC | MEDCOST INSURANCE |
| 8911319 | Medicaid | NC | |
| 11319 | Other | NC | BLUE CROSS & BLUE SHIELD |
| 370016487 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9401117 (North Carolina) | Primary |
| 208000000X | Pediatrics | 9401117 (North Carolina) | Secondary |
| Entity Name | Carrboro Pediatrics And Internal Medicine Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270671 PECOS PAC ID: 3476455973 Enrollment ID: O20040124000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cory Lyn Annis, MD 127 Fidelity St, Carrboro, NC 27510-2002 Ph: (919) 933-8381 | Dr Cory Lyn Annis, MD 127 Fidelity St, Carrboro, NC 27510-2002 Ph: (919) 933-8381 |
Dr. Kerith D Lawrence, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Fidelity St, Carrboro, NC 27510 Phone: 919-933-8381 Fax: 919-933-6623 | |
Deanna Kay Branscom, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Fidelity St, Carrboro, NC 27510 Phone: 919-933-8381 Fax: 919-933-6623 |